Luo XG, Wang J, Wang WL, Yu CZ. Intermittent abdominal pain accompanied by defecation difficulties caused by Chilaiditi syndrome: A case report. World J Clin Cases 2018; 6(15): 1042-1046 [PMID: 30568961 DOI: 10.12998/wjcc.v6.i15.1042]
Corresponding Author of This Article
Chun-Zhao Yu, MD, PhD, Professor, Department of General Surgery, the Second Affiliated Hospital of Nanjing Medical University, No. 121 Jiangjiayuan Road, Nanjing 210011, Jiangsu Province, China. chunzhaoyu@njmu.edu.cn
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Medicine, Research & Experimental
Article-Type of This Article
Case Report
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Luo XG, Wang J, Wang WL, Yu CZ. Intermittent abdominal pain accompanied by defecation difficulties caused by Chilaiditi syndrome: A case report. World J Clin Cases 2018; 6(15): 1042-1046 [PMID: 30568961 DOI: 10.12998/wjcc.v6.i15.1042]
Xia-Gang Luo, Jing Wang, Wu-Lin Wang, Chun-Zhao Yu, Department of General Surgery, the Second Affiliated Hospital of Nanjing Medical University, Nanjing 210011, Jiangsu Province, China
Author contributions: Luo XG wrote the paper; Wang J, Wang WL collected the data and relevant images; Yu CZ revised the paper.
Supported bythe National Natural Science Foundation of China, No. 30972910, 81172269; Jiangsu Provincial Commission of Health and Family Planning, No. Z201603; Science and Technology Development Fund of Nanjing Health and Family Planning Commission, No. YKK16233; Youth talent support program of Nanjing City during the 13th Five-Year Plan Period, No. QRX17107.
Informed consent statement: The patient was not required to give informed consent as the analysis included completely anonymous data; informed consent was obtained before any medical investigation or initiation of treatment as required.
Conflict-of-interest statement: The authors declare no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared according to the CARE Checklist (2016).
Correspondence to: Chun-Zhao Yu, MD, PhD, Professor, Department of General Surgery, the Second Affiliated Hospital of Nanjing Medical University, No. 121 Jiangjiayuan Road, Nanjing 210011, Jiangsu Province, China. chunzhaoyu@njmu.edu.cn
Telephone: +86-25-58509832 Fax: +86-25-58509994
Received: September 12, 2018 Peer-review started: September 12, 2018 First decision: October 11, 2018 Revised: October 18, 2018 Accepted: October 22, 2018 Article in press: October 22, 2018 Published online: December 6, 2018 Processing time: 85 Days and 23.3 Hours
Abstract
We report a case of intermittent lower abdominal pain and distension accompanied by defecation difficulties for 3 years due to Chilaiditi syndrome in a 59-year-old male. Before admission to our hospital, the patient had undergone gastroscopy, which showed gastritis and duodenitis, and colonoscopy, which showed cecum deformation and cicatricial changes of the mucous membrane in the colon hepatic flexure. A computed tomography (CT) scan of the abdomen at our hospital confirmed right hepatic atrophy and interposition of the colon. Moreover, CT simulation endoscopy identified cystic dilatation in the colon hepatic flexure with the widest diameter of 8.2 cm. The patient was diagnosed with Chilaiditi syndrome. As the patient was unable to endure his defecation difficulties, he underwent a laparoscope-assisted right hemicolectomy. The patient had a good recovery. During the follow-up period of 9 mo, the patient remained symptom-free.
Core tip: We report a rare case of intermittent lower abdominal pain and distension accompanied by defecation difficulties due to Chilaiditi syndrome. The incidence of Chilaiditi syndrome is very low and is easily misdiagnosed. Imaging examination is an important diagnostic technique for Chilaiditi syndrome.
